Avistar Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVISTAR HOME HEALTH AGENCY

Practice address

2201 Spinks Rd Ste 133
Flower Mound, TX 75022-4451

Phone

(214) 430-0996

Fax

(833) 414-0604

NPI assigned

Aug 16, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rose Efesoa

Title

Administrator Assistant

Phone

(214) 430-0996

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891460325. Details of each certification follow.

• CCN 748120 Home health agency · Active · Details

Home health agency certification: CCN 748120

Legal name

AVISTAR HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 16, 2024

Last certification

May 3, 2024

Organization structure

CorporationProprietary

Incorporated

Jul 9, 2021 in TX

Enrollment address

2201 Spinks Rd
Ste 133
Flower Mound, TX 75022
HHA Branch

Listed as

Avistar Home Health Agency, LLCCCN 748120 · All quality measures

Ownership

-

Certified

May 16, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Maryann M Efesoa, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1659703023

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryann M Efesoa, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1659703023
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1891460325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CAYMUS CT",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673254",
            "telephone_number": "214-430-0996",
            "fax_number": "833-414-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SPINKS RD STE 133",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224451",
            "telephone_number": "214-430-0996",
            "fax_number": "833-414-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISTAR HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "EFESOA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR ASSISTANT",
        "authorized_official_telephone_number": "214-430-0996"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.